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Customized Exercise Echocardiography: Beyond Detection of Coronary Artery Disease
Author(s) -
Shizukuda Yukitaka,
Plummer Sandra L.,
Harrelson Allan
Publication year - 2010
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.2009.01086.x
Subject(s) - medicine , cardiology , coronary artery disease , diastolic function , stress echocardiography , pulmonary hypertension , pulmonary artery , diastole , blood pressure
Exercise echocardiography has been established as a reliable diagnostic tool for assessment of myocardial ischemia. However, more recent advances in its technique have expanded its routine clinical use to include quantification of exercise‐induced diastolic dysfunction, exercise‐induced pulmonary hypertension, and dynamic assessment of mitral and aortic valve function. The indications for exercise echocardiography have increased to include cardiac symptoms such as exertional dyspnea, fatigue, and limited exercise capacity. In light of its expanded capability for evaluating cardiovascular function, we believe that exercise echocardiography should be utilized in a new paradigm of personalized cardiology, in which we regularly investigate individual patient symptoms for endpoints beyond critical myocardial ischemia, for example, exercise‐induced pulmonary hypertension. We refer to this refocused use of exercise echocardiography as “customized exercise echocardiography.” In this review article, we present current scientific evidence to support our proposed role and discuss the logistical requirements for proper test performance of customized exercise echocardiography. (Echocardiography 2010;27:186‐194)